	CONSULTATION
	BOOK ONLINE

Book Online

Fill-in your details to book online. One of our team members will contact you within 16 business hours to liaise with you regarding your requested consultation time. You will undergo a thorough eye examination and meet our surgeon, Michael English, to enable you to be given professional advice regarding the most appropriate vision correction treatment for your needs.

:: privacy policy

Title :

Name :*

Age :

Gender :

Male Female

email :*

address :

Suburb/Town/City :

Postcode :

Contact Phone :*
(Mobile preferred)

What is your Preferred Consultation Time?:

Time:

Day:

Month:

Year:

Do you wear glasses or contact lenses?

	I wear glasses
	I use contact lenses
	I dont wear glasses or contact lenses

	I am longsighted (hyperopic)
	I am shortsighted (myopic)
	I am longsighted and shortsighted (astigmatism)
	I need reading glasses (presbyopic)
	I don't know or I'm not sure

How did you find out about Clear Vision?

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